Provider Demographics
NPI:1023068129
Name:NURSING HOME OF EUNICE LLC
Entity type:Organization
Organization Name:NURSING HOME OF EUNICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF BUSINESS AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:MOREIN
Authorized Official - Last Name:LAFLEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-945-3268
Mailing Address - Street 1:2000 OCTAVIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-5654
Mailing Address - Country:US
Mailing Address - Phone:337-945-3268
Mailing Address - Fax:
Practice Address - Street 1:3859 HIGHWAY 190
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-7900
Practice Address - Country:US
Practice Address - Phone:337-457-2681
Practice Address - Fax:337-457-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA929314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1520845Medicaid
19-5547Medicare ID - Type Unspecified